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RECORD ADJUSTMENT DEPARTMENT OF REVENUE
BUREAU OF INDIVIDUAL TAXES
- REV-1593 IX AFP (12-13)
INHERITANCE TAX DIVISION
PD BOX 280601
HARRISBURG PA 17128-0601
DATE 05-14-2014
ESTATE OF MILLER ARLENE M
DATE OF DEATH 07-25-2013
FILE NUMBER 21 13-1110
COUNTY CUMBERLAND
ACN 101
Amount Remitted
CONFAIR SUSAN H
2331 MARKET ST
CAMP HILL PA 17011-4642 MAKE CHECK PAYABLE AND REMIT PAYMENT TO:
REGISTER OF WILLS
1 COURTHOUSE SQUARE
CARLISLE PA 17013
NOTE: To ensure proper credit to your account, submit the upper portion of this form with your tax payment..
CUT ALONG THIS LINE------------! RETAIN LOWER PORTION FOR YOUR RECORDS E-
REV-1593 EX AFP C12-13) ** INHERITANCE TAX RECORD ADJUSTMENT **
ESTATE OF: MILLER ARLENE M FILE N0. :21 13-1110 ACN: 101 DATE: 05-14-2014
ADJUSTMENT BASED ON: ADMINISTRATIVE CORRECTION
VALUE OF ,ESTATE:
1. Real Estate (Schedule A) (1) .00
2. Stocks and Bonds (Schedule B) (2) .DO
- 3. Closely Held Stock/Partnership Interest (Schedule C) (3) .00
4. Mortgages/Notes Receivable (Schedule D) (4) •00
5. Cash/Bank Deposits/Misc. Personal Property (Schedule E) C5) . 00
6. Jointly Owned Property (Schedule F) C6) .00
7. Transfers CSchedule G) (7) 69.874.41
8: Total Assets C8) 69,874.41
DEDUCTIONS AND EXEMPTIONS:
9. Funeral Expenses/Administrative Costs/
Miscellaneous Expenses (Schedule H) C9) 12,041 .65
10. Debts/Mortgage Liabilities/Liens (Schedule U (10) 3,007. 10
11. Total Deductions (11) 15, 048.75
12. Net Value of Tax Return (12) 54,825.66
13. Charitable/Governmental Bequests; Non-elected 9113 Trusts (Schedule J) C13) .00
14. Net Value of Estate Subject to Tax C14) 54,825.66
TAX:
15. Amount of Line 14 at Spousal rate V
(15) . 00X.00 = N .00
16. Amount of Line 14 taxable at Lineal/Class A rate C16) 54,825.66X. @45= ,4a$.
17. Amount of Line 14 at Sibling rate 0177 19
18. Amount of Line 14 taxable at Collateral/Class B rate 00X 37 n
(18) ' 00X'
19. Principal Tax Due �)_
467 T
TAX CREDITS: F- ^'r CJ o
PAYMENT RECEIPT DISCOUNT C+) ?i j.t
DATE NUMBER INTEREST/PEN PAID (-) AMOUNT PAID _ 7 V O
30 'Tt 'T1
10-21-2013 CDO18292 109.21 2,075. 0A 3
11-21-2013 CDC18432 . 00 1 .6ID N F n
r m
03-26-2014 CDO18939 - .00 262.7Jb W r b
.> C"
INTEREST IS CHARGED THROUGH 05-29-2014* ITOTAL TAX PAYMENT 2,448.52
AT THE RATES APPLICABLE AS OUTLINED ON THE ALANCE OF .TAX DUE 18.63
REVERSE SIDE OF THIS FORM INTEREST AND PEN. .OS
TOTAL DUE 18.68_\
• IF PAID AFTER DATE INDICATED, SEE REVERSE IF TOTAL DUE IS REFLECTED AS A "CREDIT" CCR), YOU MAY BE DUE 6r
Cnc rAirni ATTnu nc AnnTTTnNAi TMTCRFCT A RFFIINn. SFF RFVFRSF STOP OF THIS FORM FOR TNSTRIIr.TinNS-) U
REV-14n EX i9t49)
Pennsylvania INHERITANCE TAX
t DEPARTMENT OF REVENUE EXPLANATION
BUREAU OF INDIVIDUAL TAXES OF CHANGES
PO Boa 280601
HA URG PA 17128-0601
DECEDENTS NAME FILE NUMBER
Arlene M. Miller 2113-1110
REVIEWED BY WI Y Ons ACN 101
ITEM
SCHEDULE NO. EXPLANATION OF CHANGES
I 1 Reduced per Estate request.
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